34D2139117 CLIA NUMBER - WALMART PHARMACY 10-1312

Laboratory Demographics

  • CLIA Code: 34D2139117
  • Facility Name: WALMART PHARMACY 10-1312
  • Facility Address: 670 LILLINGTON
    SPRING LAKE, NC
    ZIP 28390
  • Facility Phone: 910 436-3103
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN M. MELLICK
  • NPI Number: 1386661536
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2139117
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1312
Street 670 LILLINGTON
City SPRING LAKE
State NC
ZIP 28390
Phone 910 436-3103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Pharmacy
Lab Director SUSAN M. MELLICK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025